What did @axoneymayy actually say?
Honestly, not much that can be fact-checked. The transcript captured here is basically song lyrics or off-the-cuff audio, not a direct explanation of their hormone journey. What the video does communicate, through its caption, is a before-and-after transformation framed around testosterone use over a few months. The hashtags like #ftmfemboy and #transnonbinary place this squarely in the context of gender-affirming testosterone therapy, not athletic performance or anti-aging TRT.
So the implicit claim here is this: a few months of testosterone produced visible physical changes. That's what the 411K viewers are responding to. And that claim is actually worth examining, because it's both real and often misrepresented in terms of what changes to expect and on what timeline.
Does the science back this up?
Yes, broadly. Testosterone does produce visible changes within months, but the timeline is uneven and highly individual. This is well-documented.
A 2014 study by Wierckx et al. in the Journal of Sexual Medicine tracked transgender men on testosterone therapy and found that most reported voice deepening and increased body hair within 3 to 6 months. Clitoral enlargement and increased muscle mass also began in that window, though fat redistribution toward a more android pattern typically takes 1 to 3 years to fully develop. A 2019 review by Unger in Transgender Health confirmed that early changes like skin oiliness and acne can appear within weeks, while skeletal changes simply don't happen in adults.
So if this creator is showing changes after a few months, those changes are plausible. But viewers watching and expecting a full body transformation in that window may be setting themselves up for frustration.
What did they get wrong (or right)?
They didn't make a specific medical claim here, so there's not much to correct in that sense. But the visual framing of a dramatic transformation carries its own implicit message, and that message can be misleading by omission.
What before-and-after videos routinely leave out: the dose, the delivery method, the starting baseline, whether other lifestyle changes happened simultaneously, and the role of factors like genetics in determining how quickly and dramatically someone responds. Two people on identical testosterone regimens can look dramatically different at the 3-month mark. One might show significant voice change and fat redistribution; another might mostly notice acne and increased libido.
The video also doesn't address risks, which is fine for a personal testimony but worth noting for context. Testosterone therapy in gender-affirming care carries real considerations including erythrocytosis (elevated red blood cell count), lipid changes, and potential effects on fertility. These aren't reasons to avoid treatment, but they're reasons to have a real clinical relationship, not just a TikTok comment section.
What should you actually know?
If you're watching this video and considering testosterone therapy yourself, here's what the evidence actually says about realistic expectations in the first few months.
- Skin and sebum changes often appear within 1 to 3 months and can include acne, particularly on the back and shoulders.
- Clitoral enlargement typically begins within the first 1 to 3 months according to the Endocrine Society's 2017 clinical practice guidelines.
- Voice changes usually begin between 3 and 6 months but can take up to 2 years to fully settle.
- Significant body fat redistribution toward a more masculine pattern takes considerably longer, often 1 to 5 years.
- Menstruation typically stops within a few months but may take up to 6 months in some individuals.
Results vary based on genetics, dose, delivery method, age, and baseline hormone levels. Before-and-after content on social media is real, but it reflects one person's response, not a guaranteed outcome. If you're exploring gender-affirming testosterone therapy, the conversation starts with a licensed provider who can order baseline labs and monitor your response over time, not a TikTok transformation video.